| NPI | 1407230956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BARTO COLE Owner, Physician 314-367-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO 2011012589) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |